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PASCO COUNTY, FLORIDA <br /> Permit No, <br /> Date Permitted - -1 <br /> Builder Name/Owner Name t (IiLC- Control# <br /> County Par..cel No. ()s-2_6-Z1^61 CZ-6u7t50- UDSu)bDiv: �S� <br /> Address/Location -o G!�oerad b /y-r+`t-�'r `�� <br /> r <br /> Classificationrrype of Use ��'i61�IP4m, ((z <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $ & . . Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056)� Single-Family Detached House Amount $ �� SOS Z� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ s'6 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By E) Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> . BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />